RCM Automation for Telehealth: How Foresight does it

There’s no prize for picking a side. There is a prize for getting paid on the first try.

Telehealth unlocked access. It also exploded the number of billing edge cases: home vs. clinic, audio‑only vs. audio‑video, multi‑state licensure, plan quirks, and denial codes that read like alphabet soup. If you’ve tried to automate revenue cycle management (RCM) with only rigid edits or only AI, you’ve met the limits: brittle rules that break on real‑world variability, or “smart” systems that can’t show their work when an auditor asks why.

The highest‑performing teams do something simpler and smarter: they pair deterministic rules for the black‑and‑white, machine intelligence for the gray, and human review where the stakes are high. That’s how we designed Foresight RCM. Here’s the playbook.